CMS Price Transparency Data

Ultrasound, abdomen (limited)

Facility: Henry County Memorial Hospital

Billing Code: 76705 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 76705
Insurance Median: $531
Cash Discount Price: $606
vs. Medicare Baseline: 4.97x Medicare

The contracted insurance negotiated median rate for a Ultrasound, abdomen (limited) at Henry County Memorial Hospital is $531. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $606. Compared to the federal Medicare reimbursement reference rate of $106.81, this hospital’s rate is 4.97x the Medicare baseline. Located in 1000 N 16Th St, New Castle, IN.

Cash / Self-Pay

$606

Average discount available for prompt cash payment at this facility.

Insurance Median

$531

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$106.81

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $106.81 (100%)

Cash / Self-Pay: $606 (567%)

Insurance Median: $531 (497%)

Cash: $606 (567% of Medicare)

Ins. Median: $531 (497% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $106.81 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 497% of the Medicare baseline (a markup of 397%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
UnitedHealthcare	$23 - $768	22%
Aetna	$26 - $802	24%
Blue Cross Blue Shield	$26 - $722	24%
Caresource Hip	$26 - $112	24%
Humana	$26 - $830	24%
Caresource Mcr Adv	$27 - $114	25%
Caresource Marketplace-All Other Plans	$36 - $213	34%
Caresource Just4Me	$40 - $280	37%
Encore Workers Comp-All Plans	$45 - $896	42%
Caresource Mcaid	$57 - $81	53%
Cigna	$133 - $642	125%
Health Alliance-All Plans	$225 - $802	211%
Workers Comp - All Plans	$239 - $849	224%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $606.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 76705.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Henry County Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 76705.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.